Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06910 | Date 01/06/2024 |
| Token No | SM/24-25/22580 01/06/2024 | Serial | 001 |
| Patient Name | Mrs. SUNITA MISHRA | Contact No | 9875428578 |
| Address | 2 A B ROAD RISHRA HOOGHLY 712248 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||